Provider Demographics
NPI:1932376118
Name:GREGORY V BROWNING MD,PA.
Entity Type:Organization
Organization Name:GREGORY V BROWNING MD,PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:CMOM
Authorized Official - Phone:843-664-8882
Mailing Address - Street 1:611 S DARGAN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2555
Mailing Address - Country:US
Mailing Address - Phone:843-664-8882
Mailing Address - Fax:843-679-3460
Practice Address - Street 1:611 S DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2555
Practice Address - Country:US
Practice Address - Phone:843-664-8882
Practice Address - Fax:843-679-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD10962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMD109625Medicaid
SCMD109625Medicaid
SCB92245Medicare UPIN
SC=========OtherTAX ID